The treatment of psoriatic arthritis aims at controlling the inflammation of the joint.
The treatment of psoriatic arthritis aims at controlling the inflammation of the joint. The first-line therapy differs in psoriatic arthritis as per severities. In mild psoriatic arthritis, the mainstay of treatment includes anti-inflammatory agents such as nonsteroidal anti-inflammatory drugs (NSAIDs). Apart from NSAIDs, the following drugs are also effective as a first-line treatment for mild psoriatic arthritis:
- Low-dose prednisone given orally
- Glucocorticoid injection
According to the National Psoriasis Foundation and American College of Rheumatology, a biologic agent (tumor necrosis factor alpha [TNF-α] inhibitors) is effective as a first-line treatment in people with active psoriatic arthritis. Additionally, the physician may recommend other disease-modifying antirheumatic drugs (DMARDs) for active psoriatic arthritis.
However, the physician may prescribe a combination of DMARDs or biologics in people with severe psoriatic arthritis and joint damage.
When the arthritis is mild, the doctor usually prescribes NSAIDs. NSAIDs prohibit inflammatory reaction. Some of the most common NSAIDs include:
Moreover, your doctor might prescribe misoprostol and omeprazole to prevent the unwanted effects of NSAIDs.
If arthritis doesn’t respond to NSAIDs, the doctor may prescribe DMARDs to stop
- Severe pain.
- Joint swelling.
- Joint and tissue damage.
DMARDs are potent than NSAIDs and may take longer to work. The most commonly used DMARDs include:
If DMARDs do not work for you, there’s another option called immunosuppressants. As the name suggests, these drugs suppress the hyperactive immune system. Some of the immunosuppressants effective against psoriatic arthritis include:
Another option to treat psoriatic arthritis involves biologics. They are the latest version of DMARDs with a slight alteration in their mechanism of action. Unlike DMARDs, which target your entire immune system, these medications block a specific protein causing inflammation. They include:
- Certolizumab pegol
Most people with psoriatic arthritis experience itching as an associated symptom. Psoriatic itch is characterized by burning or biting on the skin.
Some of the topical medications that work effectively against psoriatic itch include:
- Topical steroid such as hydrocortisone
- Calamine lotion
There are other prescription options if these seem to be ineffective:
- Topical anesthetics
Corticosteroids are potent anti-inflammatory drugs that relieve severe pain and swelling. There are two ways to take steroids:
- By mouth
- Inject them directly into the joint or muscle
Prednisone is the most common steroid prescribed for psoriatic arthritis.
Medically Reviewed on 4/8/2021